Glaucoma

Question 1

define glaucoma?

Answer 1

optic neuropathy usually associated with ocular hypertension

> 21 mm Hg

Question 2

what are the types of glaucoma?

Answer 2

o Acute closed-angle glaucoma (ACAG)

o Primary open-angle glaucoma (POAG)

Question 3

epidemiology of glaucoma?

Answer 3

• More common in women

* 3rd most common cause of blindness worldwide

Question 4

presenting symptoms of Acute closed angle glaucoma ?

Answer 4

o	Painful red eye  
o	Headache 
o	Vomiting  
o	Impaired vision  
o	Haloes seen around lights  
o	Hypermetropia

Question 5

presenting symptoms of Primary open angle glaucoma?

Answer 5

o Usually ASYMPTOMATIC
o Peripheral visual field loss leading to tunnel vision
o Myopia (near-sightedness – far away is blurry)

Question 6

signs of acute closed angle glaucoma?

Answer 6

o Hard, tender and Red eye
o Semi-dilated and non-reacting pupil
o Corneal oedema

Question 7

signs of Primary open angle glaucoma?

Answer 7

o Usually NO signs

Question 8

investigations for acute closed angle??

Answer 8

o Goldmann applanation tonometry
o Gonioscopy to examine the anterior chamber angle
o Slit lamp examination

Question 9

investigations for open angle glaucoma?

Answer 9

o Goldmann applanation tonometry
o Tonometry
o Direct ophthalmoscopy
o Slit lamp bio microscopy